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诊断患有慢性疾病的住院患者的抑郁症。

Diagnosing depression in the hospitalized patient with chronic medical illness.

作者信息

Cavanaugh S V

出版信息

J Clin Psychiatry. 1984 Mar;45(3 Pt 2):13-7.

PMID:6698948
Abstract

Symptoms useful in diagnosing depression in the medically ill are reviewed. The DSM-III criteria seem best suited for this purpose; of these, the most useful discriminators among patients with concomitant depression and medical illness are the affective/cognitive symptoms. Less useful are vegetative/somatic symptoms, which do, however, support the diagnosis when they are severe, disproportionate to the medical illness, and temporally related to affective/cognitive symptoms.

摘要

本文综述了有助于诊断内科疾病患者抑郁症的症状。《精神疾病诊断与统计手册》第三版(DSM-III)的标准似乎最适用于此目的;其中,在合并抑郁症和内科疾病的患者中,最有用的鉴别指标是情感/认知症状。植物神经/躯体症状的作用较小,不过,当这些症状严重、与内科疾病不相称且在时间上与情感/认知症状相关时,它们有助于诊断。

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